Dr Tara Nasir Gore, PHD is a
Clinical Neuropsychologist based in Staten Island, New York. Dr Tara Nasir Gore is licensed to practice in * (Not Available) (license number ) and her current practice location is
3298 Victory Blvd, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 475-6421.
NPI number for Dr Tara Nasir Gore is 1295263739 and her current mailing address is 3298 Victory Blvd, Staten Island, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295263739.
Healthcare Provider's Profile
| Full Name | Dr Tara Nasir Gore |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 3298 Victory Blvd, Staten Island, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295263739
- Provider Enumeration Date: 05/29/2017
- Last Update Date: 04/25/2023
Medical Identifiers
Medical identifiers for Dr Tara Nasir Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295263739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TS0200X | Psychologist - School | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tara Nasir Gore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tara Nasir Gore, PHD
3298 Victory Blvd,
Staten Island, NY 10314-6727
Ph: (917) 475-6421 | Dr Tara Nasir Gore, PHD
3298 Victory Blvd,
Staten Island, NY 10314-6727
Ph: (917) 475-6421 |
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